Application and evaluation of Bobath neurodevelopmental therapy combined with acupuncture in the rehabilitation of children with cerebral palsy

Liu Zhenhuan^1,2Qi Yanchao^1,2Qian Xuguang^1,2Zhao Yong^1,2Fu Wenjie^1,2Li Yuxiu^1,2Ding Jianying^1,2

1.Nanhai Women's and Children's Hospital Affiliated to Guangzhou University of Chinese Medicine2.Department of Child Rehabilitation Medicine

Abstract:Objective: To explore the application value of neurodevelopmental therapy and acupuncture in the rehabilitation of cerebral palsy and the changes of brain imaging and the compensation of brain function in children with cerebral palsy. Methods: We used Bobath neurodevelopmental therapy and Fadu Xingshen acupuncture to treat 50 children with cerebral palsy and a randomized controlled study. 100 children with cerebral palsy aged from 2 to 7 years old were randomly divided into an acupuncture group (50 cases) and a control group (50 cases), with 50 cases in the acupuncture group, 32 males and 18 females. The control group had 40 males and 10 females. Bobath neurodevelopmental therapy for suppression of abnormal postures, abnormal postural reflexes, abnormal motor patterns in children with cerebral palsy using inhibitory manipulations. To promote the manipulation of children with cerebral palsy to promote the neck straight, sitting straight, balance reflex and standing static balance and dynamic balance. To promote children's motor development. Acupuncture: Du Vessel Point, with Wu Yang Lingquan, Zusanli. Head needle (Divine Court through 100 meetings, 100 meetings through Naohu and Sishencong). Acupuncture 2 times a week, each needle 10 times, rest day 15 days, acupuncture 30 times a course of treatment. The control group only with rehabilitation training. Rehabilitation training mainly uses Bobath neurodevelopmental therapy. Training 1 to 2 hours a day, 90 days for a course of treatment. The developmental quotient of movement, language, personal social interaction and social adaptation, and the recovery of brain lesions by head CT and SPECT were observed in the two groups. Results: After treatment, motor development quotient, language, personal social interaction, social adaptation development quotient (DQ) in the acupuncture group were significantly higher than those in the control group (P<0.01). In the acupuncture group, 9 cases of cranial CT returned to normal after treatment, 2 cases of ventricular malacia returned to normal, and 7 cases of cortical dysplasia and mild atrophy returned to normal. The recovery rate of head CT was 33.33%(13/39), and 2 cases of brain dysplasia in the control group returned to normal after treatment. The recovery rate was 4.65%(2/43), which was significantly higher in the acupuncture group than in the control group, P<0.001. 28 cases of brain SPECT before treatment in acupuncture group. Cerebral blood flow hypoperfusion, neuronal functional activity decreased. After treatment, 27 cases returned to normal (96.43%). In the control group, 29 cases of brain SPECT had insufficient cerebral blood flow and reduced neuronal functional activity before treatment, and 6 cases (20.69%) returned to normal after treatment.) X²= 33.5191,P<0.001. Conclusion: The results of this study show that Bobath neurodevelopmental therapy combined with acupuncture can promote the reconstruction of brain function in children with cerebral palsy. Acupuncture can not only restore the motor function of children with cerebral palsy, but also promote the language quotient, personal social and social adaptation development quotient. The results of this study show that the brain of children with acupuncture at Zusanli and Sanyinjiao points is activated in the posterior central gyrus and inferior frontal gyrus, insular lobe, inferior parietal lobule and middle gyrus. The local cerebral blood perfusion and functional activity of brain cells were improved by SPECT in the scalp motor area. Inducing motor-related regional neural function compensation or assisting the reconstruction of damaged neural network ultimately promotes the reconstruction of motor function in children with cerebral palsy.

Key words:Neurodevelopmental therapy;Acupuncture;Bobath;Application and evaluation;

Conference Name:The 31st Academic Conference of Pediatric Branch of Chinese Society of Traditional Chinese Medicine

Meeting time:2014-06-27

Venue:Kunming, Yunnan, China

Album:Medical and Health Science and Technology

Topic:Traditional Chinese Medicine

Classification number:R246.6

Bobath Neurodevelopmental Therapy and... Application and Evaluation in Rehabilitation of Children with Cerebral Palsy_Liu Zhenhuan (1).pdf